Individual
JENNIFER E. LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
4307 HIGHWAY 66 S, ROGERSVILLE, TN 37857-3155
(423) 921-1600
(423) 921-1677
Mailing address
PO BOX 850, ROGERSVILLE, TN 37857-0850
(423) 921-6975
(423) 921-6920
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14329
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326270570
—
VA
05
—
1517266
—
TN
01
—
P00799351
MEDICARE RR
TN
Enumeration date
08/20/2009
Last updated
05/21/2025
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